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Administration


Item Format, Size (if DPH file) Last Modified* (if DPH file)
Management of DPH Policies and Procedures PDF, 20 KB 02/13/07

 Budget


Item Format, Size (if DPH file) Last Modified* (if DPH file)
Purchasing and Invoicing PDF, 90 KB 04/08/09
Grant Budget Review Policy and Procedure PDF, 25 KB 09/28/09
Key NCAS Budget Reports Found Through XTND PDF, 18 KB 04/14/10

 Grants Management - Updated 08/24/10


Grants Management Policies, Forms, Checklists, Memos, and Related Information
A. Policies

Document Format, Size (if DPH file) Last Published* (if DPH file)
Grants Management Policy PDF, 22 KB 12/17/09
Procedure for Applying for a Grant PDF, 34 KB 12/28/09
Procedure for Preparing to Receive the Grant PDF, 17 KB 02/23/09
Procedure for Implementing the Grant DOC, 31 KB 02/23/09
Procedure for Managing the Grant DOC, 32 KB 02/23/09
Procedure for Closing out the Grant DOC, 33 KB 02/23/09

B. Forms

Form Format, Size (if DPH file) Last Modified* (if DPH file) Notes
Form 606A: Notification of Application for Grant Funds/Awards 2008-2009 PDF N/A State agencies are required by statute (G.S. 143C-7-1) to notify the Office of State Budget and Management (OSBM) of all applications made for grant funds and/or other funds that require an application.
606A Instructions: Instructions for Reporting Grant Applications/Awards PDF N/A Line-by-line instructions for Form 606A
SF 424: Application for Federal Assistance DOC N/A  
SF 424 Example and Instructions DOC, 390 KB 08/26/08 SF 424 example provided by DPH
SF 424A: Budget Information - Non-Construction Programs PDF N/A  
SF 424A Example and Instructions DOC, 390 KB 01/22/09 SF 424A example provided by DPH
Cost Allocation Plan (CAP) Update Request DOC, 41 KB 02/08; Replaced: 09/21/09 Form used by the Cost Accounting Branch in establishing and maintaining the Cost Accounting Plan; documents the initiation of cost centers (RCCs) as well as changes to existing centers.

C. Grant Application Checklists
  1. Personnel Checklist (DOC, 31 KB)
  2. Purchasing/Facility Checklist (DOC, 31 KB)
  3. Contracts Checklist (DOC, 42 KB)
  4. IT Checklist (DOC, 37 KB)
  5. Budget Checklist (DOC, 23 KB)
D. Related Information - Updated 08/24/10
  1. Rates:
  2. Positions:
  3. Budget/Business Operations Directory (XLS, 24 KB) - Updated 08/24/10
  4. Grants.gov


 Health and Safety - Updated 08/11/10


Item Format, Size (if DPH file) Last Modified* (if DPH file)
Accident/Injury Reporting and Investigation Procedure PDF, 60 KB Updated 08/11/10
Adverse Weather Policy PDF, 33 KB 01/28/10
Automated External Defibrillator Procedure PDF, 83 KB 04/21/08
Emergency Evacuation PDF, 184 KB 07/11/07
Hazard Communications Policy and Procedure PDF, 58 KB 11/01/07

Program Monitoring (Subrecipient Monitoring)


Subrecipient Monitoring
Click a letter and category title to view content.
A. Overview

  • Who? According to the DHHS Monitoring of Programs policy, each division that has financial assistance arrangements with subrecipients shall develop and maintain a subrecipient monitoring plan - DPH programs are responsible for developing and maintaining their own plan(s).
  • What is a Subrecipient Monitoring Plan? The Division of Public Health Subrecipient Monitoring Plan (provided below at Item C) is the basis for monitoring program and fiscal compliance with state and federal requirements. The primary objective of the monitoring plan(s) developed by programs is to ensure that subrecipients are complying with applicable rules and regulations and that the program(s) are accomplishing their intended purpose(s).
  • How? The Division's Subrecipient Monitoring Plan (Item C) details how DPH plans to monitor its programs.
  • When? How often should monitoring and reporting occur? The frequency and intensity of monitoring techniques applied to a given subrecipient will be directly proportional to the level of risk assigned. The amount of financial and programmatic monitoring, and the techniques used, will vary based upon the DPH risk-based system outlined in Section "VI. Risk Assessment" of the Division's Subrecipient Monitoring Plan.
  • Why? To comply on federal, state, and departmental levels - further regulatory background information is available in the Division's Subrecipient Monitoring Plan. Links to specific regulations are available under "Resources" (Item F).
B. Definitions

  1. Grant: A giving of funds for a specific purpose.
  2. Pass-through Entities: State agencies in receipt of federal or state funds that are sub-awarded to private or other state agencies for provision of services in support of a specific program or project. Pass-through entities are responsible for monitoring grants to provide reasonable assurance that:
    1. Federal and state grant funds are expended in ways that meet provisions of pertinent statutes, regulations, agency administrative requirements, relevant OMB circulars, and the terms of the award notice.
    2. Adequate progress is being made toward achieving the sub-award project’s goals and objectives (as defined in award application packets).
  3. Subrecipient Agency: An agency or organization that receives federal or state awards from the Division of Public Health. These agencies are usually non-profit or governmental agencies or organizations, but in some instances may be for-profit entities. (State agencies routinely monitored by the Office of the State Auditor are not necessarily included in this definition, but consideration should be based on prior experience with the state agency in question.
  4. Federal or State Awards: Financial assistance and cost-reimbursement contracts that non-federal and non-state entities receive directly from federal or state awarding agencies or indirectly from pass-through entities. (The payments received for goods or services provided as a vendor are not considered federal or state awards.)
  5. Monitoring: Activities that are part of a continuous improvement strategy designed to assure that public funds are allocated and spent in a manner that maximizes the level of program benefits to the public and to other stakeholders (e.g. granting agency, DPH, and the subrecipient). Monitoring is incorporated into all aspects of the post-award process.
  6. Cost Disallowance: A charge to a grant that the division determines to be unallowable, according to the applicable cost principles (OMB Circular A-122 for non-profit organizations, A-21 for educational institutions, and A-87 for state, local, and Indian tribal governments) or other award terms and conditions. The general rule of thumb for any costs to be considered proper is that they must be allowable, allocable, necessary, reasonable, and treated consistently.
  7. Temporarily Withholding Funds: Action taken by the division, after appropriate administrative procedures have been followed, which delays a subrecipient’s ability to access its grant funds until it takes corrective action required by the pass-through entity.
  8. Suspension: Action by the division that temporarily suspends financial assistance under the award, pending corrective action by the subrecipient or a pass-through entity’s decision to terminate the award.
  9. Termination: Permanent cancellation of the subrecipient’s authority to obligate all or part of the funds awarded to it. Awards may be terminated under the following conditions as outlined in OMB Circular A-110:
    1. By the division, if the subrecipient materially fails to comply with the terms and conditions of the award;
    2. By the division, with the consent of the subrecipient; or
    3. By the subrecipient, upon sending written notification to the agency stating the reasons for the termination.
  10. Voiding of a Grant: Determining that the award was obtained fraudulently, or was otherwise illegal or invalid from inception. Voiding, in effect, is a decision that the grant never legally existed. Such determinations are rare, but possible.
  11. Debarment and Suspension: Government-wide actions based on Executive Order 12549 which exclude a person or organization from participating in grants or other assistance awards. Suspensions are temporary actions, not to exceed 18 months, generally leading to debarment, implemented only when immediate action is needed to protect the government’s interest. Debarment generally lasts three years.
C. DPH Subrecipient Monitoring Plan

Document Format, Size (if DPH file) Last Published* (if DPH file)
DPH Subrecipient Monitoring Plan Word, 190 KB 08/23/06
Appendix A: Internal Control Questionnaire Word, 73 KB 08/23/06
Appendix B: Risk Assessment Form Word, 33 KB 08/23/06
Appendix C: Subrecipient Monitoring Log Word, 24 KB 08/23/06
Appendix D: Monitoring Tool / Instrument Word, 58 KB 08/23/06
Appendix E: Monitoring Documentation Form Word, 22 KB 08/23/06
Appendix F: Risk Notification Letter Word, 21 KB 08/23/06
Appendix G: DPH Subrecipients Word, 95 KB 08/23/06
Appendix H: BCCCP/WW Program Monitoring Plan PDF, 2.14 MB 03/11/09
Appendix I: Chronic Disease and Injury - Asthma Plan PDF, 837 KB 03/17/09
Appendix J: Chronic Disease and Injury - Epilepsy Plan PDF, 815 KB 03/17/09
Appendix K: HIV-STD Prevention and Care/HIV-STD Prevention Activities PDF, 2.40 MB 03/19/09
Appendix L: Health Promotion - Refugee Health Assessments Plan PDF, 2.60 MB 03/24/09
Appendix  M:  Women's Health - Teen Pregnancy Prevention Initiatives Plan PDF, 3.19 MB 03/26/09
Appendix N: Special Supplemental Nutrition Program for Women, Infants, & Children (WIC) Plan PDF, 1.57 MB 03/26/09
Appendix O: Early Intervention Monitoring Plan PDF, 269 KB 04/01/09
Appendix P: Child Nutrition Programs (CACFP and SFSP) Plan PDF, 20.5 MB 04/26/09
Appendix Q: Health Promotion/Tobacco Prevention and Control Final Plan PDF, 126 KB 05/26/09
Appendix R: HIV-STD Prevention and Care/AIDS Care Unit [Core Ryan White Services, HIV Pediatric Services, Housing Opportunities for Persons With AIDS (HOPWA)] PDF, 26.5 MB 07/22/09
Appendix S: Health Promotion/Physical Activity and Nutrition Plan PDF, 15 KB 07/22/09
Appendix T: Chronic Disease/Diabetes Awareness, Education, and Health Care Delivery Plan PDF, 175 KB 07/24/09
Appendix U: Health Promotion/Injury and Violence Prevention (Rape Prevention and Education) Plan PDF, 273 KB 07/24/09
Appendix V: Children's Health Services Plan PDF, 6.28 MB 07/24/09

D. Monitoring Plan Template

Document Format, Size (if DPH file) Last Published* (if DPH file)
Monitoring Plan Template Word, 59 KB 08/23/06

E. Monitoring Plan Tools

Document Format, Size (if DPH file) Last Published* (if DPH file)

Grants Monitoring Assistance Worksheet

Word, 21 KB 08/23/06
Grants Monitoring Periodic Reports Desk Review Worksheet Word, 39 KB 08/23/06
Grants Monitoring Phone Call Worksheet Word, 23 KB 08/23/06
Grants Monitoring Site Visit Worksheet Word, 23 KB 08/23/06
Grants Monitoring Pre-Award Risk Assessment Checklist Word, 30 KB 08/23/06
Program Activities and Accomplishments Report Word, 32 KB 08/23/06
Grants Monitoring and Performance Evaluation Worksheet Word, 25 KB 08/23/06
Grants Monitoring Individual Grant Monitoring Plan Worksheet Word, 39 KB 08/23/06
Grants Monitoring Corrective Action Worksheet Word, 23 KB 08/23/06
Example of Conflict of Interest Policy Word, 42 KB 08/23/06
Notification Letter for Site Visit Monitoring Word, 277 KB 01/14/09
Pre-Assessment Survey Word, 31 KB 08/23/06
Monitoring Procedures Word, 50 KB 08/23/06
Monitoring Visit Agenda Word, 64 KB 08/23/06
On-Site Program Review Word, 81 KB 08/23/06
Monitoring Process Evaluation Word, 32 KB 08/23/06
Monitoring Visit Exit Conference Word, 62 KB 08/23/06
Quality Improvement Recommendations Excel, 22 KB 08/23/06

F. Resources/Links

G. Training

Document Format, Size (if DPH file) Last Published* (if DPH file)
Public Health Monitoring Summit PowerPoint, 473 KB 10/24/08

Summary of Meeting with Monitors and Administrative Consultants Format, Size (if DPH file) Last Published* (if DPH file)
Monitoring Schedule and Tools PDF, 290 KB 12/18/08
Administrative Consultants' Assigned Counties PPT, 101 KB 12/18/08
Meeting Summary Word, 38 KB 12/18/08

Internal Fiscal Monitoring Training Format, Size (if DPH file) Last Published* (if DPH file)
Internal Fiscal Monitoring Training Summary Word, 29 KB 03/11/09
Fiscal Monitoring Presentation PPT, 4.66 MB 03/11/09
ACU Subrecipient Monitoring Plan Site Visit Checklist Word, 27 KB 03/11/09
Site Visit Verification Checklist Word, 26 KB 03/11/09

Procedure for AIDS Care Unit Subrecipient Monitoring Review

Word, 46 KB 03/11/09
Financial Programmatic Checklist Word, 67 KB 03/11/09

Communicable Disease Branch Site Visit Report (Format)

Word, 26 KB 03/11/09
Site Visit Worksheet Word, 98 KB 03/11/09



 Records Management


Records Retention and Disposition Schedules: State, Program, and Local Health Departments
A. Overview

Who?

All Programs of DPH are required to have a Records Retention & Disposition Schedule.

What is a Records Retention and Disposition Schedule? 

This document is a tool for employees in an office to use to manage the records in their office.  Lists records commonly found in an office and gives an assessment of value by indicating when records may be destroyed.

Why do I have to have a schedule?

It is the law.  According to G.S. 121-5 and G.S. 123-3, you may only destroy public records with the consent of the Department of Cultural Resources.  DCR can only give consent if there is a schedule.

How ?

If you do not have a Records Retention & Disposition Schedule, you must develop one.  Complete the “Public Records Series Listing” form and return to the State Records Center.

When? 

Schedules should be reviewed annually and inventory records.  If the schedule needs updating (i.e., records no longer in use, disposition changes), complete the “Public Records Series Listing” form and return to the State Records Center.

B. Schedules and DHHS Disposition
C. Training Presentation
D. Forms

Form Format, Size (if DPH file) Notes
Public Records Series Listing DOC or PDF Complete if a schedule needs to be developed and if a schedule needs to be updated.
Records Retrieval Form PDF

Use to request records stored at the State Records Center or other storage facilities.

Request for Disposal of Unscheduled Records PDF, 145 KB

Approval must be obtained to destroy records not listed on a schedule.


E. FAQs

F. Policy

Document Format, Size (if DPH file) Last Modified* (if DPH file)
Records Retention Policy Word, 107 KB 05/20/08

G. Resources


Risk Management


Item Format, Size (if DPH file) Last Modified* (if DPH file)
Medicaid False Claims Act Policy and Procedure DOC, 87 KB 04/29/08
Public Health Code of Ethics DOC, 57 KB 04/29/08
Risk Management Program DOC, 56 KB 04/29/08

 Travel


Item Format, Size (if DPH file) Last Modified* (if DPH file)
Travel PDF, 53 KB 05/01/10
Use of Motor Fleet Management (MFM), Rental or Personal Vehicles PDF, 44 KB 05/01/10


*Note: "Last Modified" or "Last Published" dates apply only to documents maintained by the Division of Public Health and not linked on an external web site.

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